Peacock, Jeffrey Frank

Peacock, Jeffrey Frank is an individual health care provider with primary practice located at 650 Joel Dr Ft. Campbell, Ky, Fort Campbell KY 42223-5318. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Peacock, Jeffrey Frank can be contacted via phone (270) 798-8106.

Contact Information

Primary practice address
650 Joel Dr Ft. Campbell, Ky Fort Campbell KY 42223-5318
Phone: (270) 798-8106
Fax: (279) 956-0180
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1084990 Texas
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1084990 Tennessee

Profile Details

NPI number 1972753689
LBN Legal business name Peacock, Jeffrey Frank
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2008
Last updated Sep 30th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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